A Review on Design and Development of Anti-Bedsore Bed for Patients (2025)

Design And Control of Patient Bed For Prevention Pressure Ulcers in Long-Term Inpatients

DÜMF Mühendislik Dergisi, 2021

Pressure ulcers cause a lot of pain and discomfort in the patient. It also has a negative impact on the quality of life. Some patient's treatment process may be take longer in hospitals. Like accident injuries, orthopedic treatments, long-term oncologic treatments. In these processes the time that spent on patient beds is very important. These patients must not be moved while the healing process. Especially elderly patients' and in these long-term patients some bed injuries may occur because of the pressure on their body named bed sores. Due to the negative effects of pressure ulcers on patients and costly treatment, they must be prevented. Controlling the pressure intensity can help prevent pressure ulcers. Currently, the solutions to prevent pressure ulcers include using different methods for movement and displacement of patients. In this study, a patient bed has been designed to prevent pressure ulcers in long-term inpatients as application of electronics in medicine. In this bed, several plastic balls placed on pressure points. These points are the most pressurized points of the human body. The control of pressure in this points to be implemented in real time by an arduino mega controller board. Then the simplified control system is tested on the designed bed. The air inside the airbags placed at the pressure points according to the pressure sensor values connected to the designed system is changed by the compressor. It has been observed that the pressure values decreased by an average of 8-11% by inflating the balls at the pressure points in the designed patient bed system In this way, pressure ulcers occurring at pressure points can be reduced and pressure ulcers can be prevented.

Air Mattresses as Prevention for Pressure Ulcer - An Interdisciplinary Overview

2015

Pressure Ulcers (PUs) are one of the most common medical problems in hospitalized immobile patients and elderly patients in nursing homes. PU occurs due to cell necrosis which tends to develop when a soft tissue is broken by a prominence bone or a hard surface for a long period of time. Currently available techniques and or protocols designed to prevent pressure ulcers are mainly based on the improvement of the skinsupport interface and on a postural and behavioral education This paper surveys the literature on the pressure ulcer incidences from three different viewpoints. First view point is study of different foam as well as air mattresses. The second view point focuses on effectiveness of air mattresses based on PU incidence and contact interface pressure and blood perfusion. Third viewpoint focuses on comfort and cost effectiveness. Ten RCTs analyzed the PU incidence.

Multi-Fowler Techno Bed: A Solution for Pressure Ulcer Patients

2015

Nowadays, pressure ulcers or decubitus ulcers occur across the spectrum of health care settings. Pressure ulcers are localized injuries of dermal tissues caused by poor blood supply due to concentrated pressure on susceptible tissues. The most expedient method for reducing pressure is to turn and position the patient frequently, advisable of 2-hour interval. This requires the health-care workers’, especially nurses or physiotherapists’ effort to mobilize them. The highest incidence is actually in the hospital, while the highest prevalence is in long-term care facilities. Pressure ulcers are increasingly being used as indicator of poor-quality care. Failure of nursing care is blamed for most pressure ulcers in both hospitals and nursing homes. This was not because of the staff nurse refused to mobilize the patients, but sometimes this is about the insufficiency of health-care workforce to make the big-sized ill patients move their extremities on bed in the hospitals. Thus, this paper...

Prevention of pressure ulcers with a static air support surface: A systematic review

International Wound Journal, 2018

A Comparative Study Between Two Support Surfaces for Pressure Ulcer Prevention and Healing in ICU Patients

Cureus, 2020

The aim of this research was to compare the effectiveness of two mattresses used in intensive care unit (ICU) high-risk patients in terms of pressure ulcers (PUs) prevention and healing. Materials and Methods The studied sample consisted of 70 consecutive patients aged 18 to 65 years hospitalized in two ICUs of a general hospital in Athens, Greece. Virtuoso Mattress System (LINET, Slaný, Czech Republic) was used in 35 patients, and standard memory foam mattress was used in the rest of participants. Patients were firstly assessed on enrollment and then every 72 hours in order to record the appearance or not of PUs, location of PUs, and stage of PUs, with the maximum follow-up not exceeding the 21 days. A number of clinical and biochemical factors, medical treatment, and vital signs were also recorded at each time point. Results Of the 70 patients, 40 (57.1%) were men, and the mean ± standard deviation age of the sample was 46.1 ± 14.5 years. The most common area of PUs was the buttocks (34.3%) followed by the shoulders (22.3%), with no statistically significant difference detected between the two groups. Moreover, the proportion of patients having PUs at stage 2 or higher was 23.8% on the third day after admission and 61.1% on the sixth day, with no difference detected between the two groups. Cox proportional hazard model revealed that the Virtuoso mattress was associated with almost 56% lower risk of developing PUs compared with standard foam mattress (HR [95% CI]: 0.44 [0.20-0.93]). The percentage of patients healed using the Virtuoso mattress was significantly lower compared with the standard foam mattress at all time points, with the results reaching statistical significance only on the 12th day after admission (7.7% vs. 66.7%; p < 0.05). Conclusions The Virtuoso mattress seems to be more effective compared with standard foam mattresses in the prevention of PUs, whereas the standard foam mattresses are more effective in PU healing process.

The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care

Journal of Tissue Viability, 2004

Over the past year members of the Tissue Viability Society have been involved in helping the National Institute for Clinical Excellence (NICE) develop a new guideline on the use of pressure-relieving devices in pressure ulcer prevention. This article presents this guideline, its evidence base and the development process. Given that the guideline has been subject to NICE stakeholder review it has not been sUbjected to the normal peer-review process used by the Journal of Tissue Viability.

Pressure ulcer prevention using an alternating-pressure mattress overlay: the MATCARP project

Journal of Wound Care, 2018

Objective: The primary objective was to assess the incidence of pressure ulcer (PU) in patients at high risk of PU and lying between 15–20 hours per day on an alternating-pressure mattress overlay (APMO). Secondary objectives were the patient&#39;s satisfaction with the comfort of the APMO, patient acceptance of its sound level, and the care team&#39;s assessment of its use and the moisture level. Method: This prospective observational study was conducted in three rehabilitation centres and two nursing homes between June 2016 and March 2017. To be included, patients should not have PU at baseline and present a high risk of PU (Braden score between 10–15). The primary endpoint was the percentage of patients in whom a PU developed over a 35-day period. Results: A total of 83 patients were included in the study. Neurological disease was responsible for the reduced mobility of 44 (53.7%) patients, 10 patients (12.0%) dropped out (one patient for a serious adverse event (femoral neck fra...

The effectiveness of three types of alternating pressure air mattresses in the prevention of pressure ulcers in Belgian hospitals

Research in Nursing & Health, 2013

To compare the effectiveness of multi-stage and one-stage alternating low-pressure air mattresses (ALPAM) and alternating pressure air mattress (APAM) overlays in preventing pressure ulcers among hospitalized patients, data were pooled (N ¼ 617) from a study of patients allocated to multi-stage ALPAM (n ¼ 252) or one-stage ALPAM (n ¼ 264), and another study of patients allocated to APAM overlay (n ¼ 101). Cumulative pressure ulcer incidence was 4.9% (n ¼ 30) over 14 days. Fewer ulcers developed on multi-stage ALPAM compared with APAM overlay (OR ¼ 0.33; 95% CI [0.11, 0.97]), but no difference was found between onestage ALPAM and APAM overlay (OR ¼ 0.40; 95% CI [0.14, 1.10]). Time to develop ulcers did not differ by mattress type. ß

How effective is a Pressure Relieving Mattress in Reducing Pressure Ulcers

Pressure ulcers have historically been regarded as one of the most common complication for hospitalisation and chronic bed confinement. The implication of this is that the break of skin integrity after admission into the hospital became a major concern in research and practice. However, over the years, there has been a variety of interventions intended to reduce the negative effects of hospitalisation, and more specifically reducing the incidence of pressure ulcers. Remedies such as pressure area care and the use of water or air rings on the bed have been extensively studied over the years, providing the profession with evidence based practice guidelines that are necessary to lead to the desired outcomes in regard to the reduction of pressure ulcers. One of the most recent development in this perspective is the development and production of various types of pressure-relieving mattresses.

The Efficacy of Goodmark Medical's Solution Using the BAM Labs� Smart Bed TechnologyTM in the Prevention of Pressure Ulcers

2014

Pressure ulcers are a largely preventable, yet prevalent problem in long-term care facilities, causing pain and discomfort for residents and the potential for litigation for the care facility. This study had two major goals, to assess the effects of an every two-hour repositioning schedule on the development of pressure ulcers and to assess the efficacy of the BAM Labs® Smart Bed TechnologyTM solution in providing the ability to drive compliance to the repositioning schedule, thereby reducing the number of pressure ulcers in a long-term care bed-bound population. Ninety four residents from three long-term care facilities in Kentucky, deemed at risk for the development of pressure ulcers participated in this study. Over a period of 12 weeks, participant’s number of validated bed turns were monitored using the Smart Bed TechnologyTM solution and the number of new pressure ulcers was recorded. Results found that the overall number of pressure ulcers decreased by 50% from baseline to th...